The video, posted on March 7, was taken on a SEPTA public bus running through Philadelphia’s “Badlands,” according to the YouTube description. The section of North Philadelphia comprises several neighborhoods and is known for being a hub of drugs and crime.

In the 4:28 video, a mom is seen nodding off on the bus, clearly out of it, for several minutes. All the while, her child, a little girl, is holding her head and trying to wake her up.

No one in the video appears to help or call the police. In fact, SEPTA Police Chief Tom Nestel told Philly.com his department received no 911 calls during the incident, only after.

“When you have a person doing the ‘heroin nod’ and a little girl is trying to hold her head up, that’s horrifying,” Nestel said. “There’s very little reason why 15 calls to 911 weren’t received. I don’t think there’s anyone who can watch that and say, ‘Ah, that’s a shame,’ and just walk away.”

Over the weekend, Philly.com reports the Department of Human Services took the child into their custody. The mom, a 26-year-old, has not been charged.